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Chiropractic

Iklinikhi yangasemva yeChiropractic. Olu luhlobo lonyango olulolunye olujolise ekuxilongweni nasekunyangelweni kweentlobo ezahlukeneyo zokulimala kwe-musculoskelet kunye neemeko, ngakumbi ezo zihambelana nomqolo. UDkt Alex Jimenez uxoxa ngendlela uhlengahlengiso lomqolo kunye nokuguqulwa kwesandla rhoqo kunokunceda kakhulu zombini ukuphucula nokuphelisa iimpawu ezininzi ezinokubangela ukungahambi kakuhle kumntu. I-Chiropractors ikholelwa phakathi kwezizathu eziphambili zentlungu kunye nezifo kukungahambi kakuhle kwe-vertebrae kwikholamu yomgogodla (oku kwaziwa ngokuba yi-subluxation ye-chiropractic).

Ngokusetyenziswa kokufumanisa ngesandla (okanye i-palpation), uxinzelelo olufakwe ngokucokisekileyo, i-massage, kunye nokunyangwa ngesandla kwe-vertebrae kunye namalungu (okubizwa ngokuba luhlengahlengiso), i-chiropractors inokunciphisa uxinzelelo kunye nokucaphuka kwimithambo-luvo, ukubuyisela ukuhamba ngokubambisana, kunye nokunceda ukubuyisela i-homeostasis yomzimba. . Ukusuka kwi-subluxation, okanye ukungahambi kakuhle komgogodla, ukuya kwi-sciatica, isethi yeempawu ecaleni kwe-nerve ye-sciatic ebangelwa yi-nerve impingement, ukhathalelo lwe-chiropractic lunokubuyisela ngokuthe ngcembe imeko yendalo yomntu. UDkt Jimenez uqulunqa iqela leengcamango kwi-chiropractic ukufundisa abantu ngokufanelekileyo kwiintlobo ezahlukeneyo zokulimala kunye neemeko ezichaphazela umzimba womntu.

Utyando kunye neChiropractic: Loluphi unyango oluLungileyo?

by UGqr Alex Jimenez | Chiropractic, Disc Disc

Kubantu abafumana intlungu emva kwidiski ye-herniated, ngaba unokuqonda umahluko phakathi kotyando kunye ne-chiropractic ukunceda abantu bafumane isicwangciso sonyango esilungileyo?

Utyando okanye Chiropractic

Ukuphila neentlungu zangasemva kunokuba yinto ebuhlungu, kwaye nangona kunjalo abaninzi bayasokola ngaphandle kokufuna ukhathalelo. Namhlanje, kukho inani elikhulu lotyando kunye nobuchule obungabonakaliyo obungcono ekuphatheni iingxaki zomqolo kunye nomqolo kunye nokulawula iimpawu. Kubantu abanokuba ne-disc ye-herniated okanye banomdla malunga neendlela zokunciphisa iintlungu zabo zangasemva, umboneleli wezempilo, umchwephesha womzimba, ingcali yomgogodla, kunye ne-chiropractor ungabazisa ngeendlela zonyango. Utyando kunye nonyango lwe-chiropractic lunyango oludumileyo lwe-herniated, bulging, okanye idiski etyibilikayo.

I-disc ye-herniated xa i-cartilage discs ehambisa i-vertebrae isuka kwindawo kwaye iphume.
Utyando lwe-disc ye-herniated lubandakanya ukususa okanye ukulungisa i-disc.
I-Chiropractic ibeka i-disc ngokungaqhelekanga kwaye ilungelelanise umqolo.
Omabini amayeza aneenjongo ezifanayo ezinomahluko ophambili.

Ukhathalelo lweChiropractic

I-Chiropractic yinkqubo yonyango egxile ekulungiseni nasekugcineni ukulungelelaniswa komqolo ukuze uncede ngeengxaki ze-back and posture. Iingcali zeChiropractors ziqeqeshelwe kwaye zinelayisenisi abaqeqeshi bezonyango abathatha indlela yokungabikho kokuhlinzwa, unyango oluqinisekisiweyo lwentlungu engapheliyo, ukuguquguquka, kunye nemiba yokuhamba.

Indlela Esebenzayo

Unyango lweChiropractic lukhuthaza kwaye luxhasa iinkqubo zokuphilisa zendalo zomzimba. Kuthathwa njengentlungu edibeneyo kumqolo, intamo, imilenze, iingalo, iinyawo kunye nezandla. Ngokuqhelekileyo kubandakanya iiseshoni apho i-chiropractor ngokwenyama kwaye ilungisa ngokucophelela i-vertebrae ngesandla, eyaziwa ngokuba yi-spinal manipulation okanye ukulungiswa kwe-chiropractic. (MedlinePlus. 2023). I-chiropractor yenza uvavanyo olunzulu lwezonyango kwaye iqhuba iimvavanyo ukuseka ukuxilongwa. I-chiropractor iya kuphuhlisa isicwangciso sonyango esinokubandakanya iqela le-massage kunye neengcali zonyango, acupuncturists, abaqeqeshi bezempilo, kunye neengcali zokutya ukuphatha iindawo ezichaphazelekayo ngeendlela ezahlukeneyo, ukucebisa ukuzivocavoca okujoliswe kuyo, ukulungelelanisa indlela yokuphila kunye nesondlo ukuxhasa unyango, kunye nokubeka iliso kwinkqubela phambili. Ukudibanisa kunye noxinzelelo kunye noxinzelelo oluqhubekayo, iindlela ezininzi zinokunyusa ukuhamba ngokubambisana kunye nokunciphisa iimpawu zentlungu. (Iziko leSizwe leMpilo yokuThotyelwa kunye neNtsebenziswano. 2019Iiprothokholi ezongeziweyo zokuxhasa okanye ukuphucula unyango lwe-chiropractic ziquka:

Ukufudumala kunye nonyango lwe-ice ukunciphisa ukuvuvukala kunye nokwandisa ukujikeleza kwegazi.
Ukusebenzisa izixhobo zokuvuselela izihlunu kunye nemithambo-luvo ngombane.
Ukuphuhlisa ukuphumla kunye neendlela zokuphefumla ngokunzulu.
Ukubandakanya imithambo ukukhuthaza ukubuyisela kwisimo sangaphambili.
Ukuseka inkqubo yesiqhelo yokuba sempilweni.
Ukwenza uhlengahlengiso kwindlela yokutya kunye nendlela yokuphila.
Ukuthatha izongezo ezithile zokutya.

Ukuguqulwa komgogodla kunye nokulungiswa kwe-chiropractic kuye kwaboniswa ukuphucula iimpawu kunye nokubuyisela ukuhamba kwiimeko zentlungu engapheliyo. Olunye uphononongo lufumene ukuba abantu abaneentlungu ezingapheliyo ze-lumbar / ezisezantsi babika ukuphucuka okukhulu emva kweeveki ezintandathu zonyango lwe-chiropractic. (Ian D. Coulter et al., 2018)

amaxabiso

Iindleko eziphuma epokothweni zonyango lwe-chiropractic zixhomekeke kwizinto ezahlukeneyo.
I-inshorensi inokuluhlawulela okanye ingaluhlawuleli unyango, kwaye imali umntu afanele ukuyihlawula inokwahluka ngokusekelwe kubuzaza betyala lakhe, ukuba isicwangciso sakhe sibandakanya ntoni na, kunye nendawo ahlala kuyo. Olunye uphononongo lufumene ixabiso lingahluka phakathi kweedola ezingama-264 kunye ne-6,171 yeedola. (USimon Dagenais et al., 2015)

Ukuhlinzwa

Kukho uluhlu lweenkqubo zokuhlinzwa ezincinci zokunyanga iidiski ze-herniated. Ezi zisebenza ukunciphisa uxinzelelo lwe-nerve ngokususa okanye ukubuyisela iidiski ezonakalisiweyo okanye ukuzinzisa i-vertebrae, ukukhulula intlungu kunye nokuvuvukala.

Indlela Esebenzayo

I-disc ye-herniated ingenzeka kuyo nayiphi na indawo yomqolo kodwa ixhaphake kakhulu kwi-back back / lumbar spine kunye nentamo / yomlomo wesibeleko. Utyando luyacetyiswa xa: (I-American Academy ye-Orthopedic Surgeons. 2022)

Unyango olongezelelweyo, njengamayeza kunye nonyango lomzimba, alukwazi ukulawula iimpawu.
Iintlungu kunye neempawu zichaphazela ubomi bemihla ngemihla kunye nokusebenza.
Ukuma okanye ukuhamba kuba nzima okanye akunakwenzeka.
I-disc ye-herniated ibangela ubunzima bokuhamba, ubuthathaka bemisipha, kunye ne-bladder okanye i-bowel control loss.
Umntu usempilweni ngokufanelekileyo, akanalo usulelo, i-osteoporosis, okanye isifo samathambo.

Iinkqubo zotyando ezikhethekileyo ezisetyenziswayo ziquka:

Utyando lweFusion

Ukudityaniswa komqolo yeyona nkqubo ixhaphakileyo kwidiski ye-herniated esezantsi.
Kubandakanya ukusebenzisa izinto zamathambo ezenziweyo ukudibanisa i-vertebrae ukwandisa ukuzinza kunye nokukhulula kunye nokuthintela ukucaphuka kwe-nerve kunye noxinzelelo. (I-American Academy ye-Neurological Surgeons. 2024)

I-Laminotomy kunye ne-Laminectomy

Iimpawu ze-disc ze-Herniated zivela kwi-compression ebekwe kwiimbilini.
I-Laminotomy ibandakanya ukwenza ukusika okuncinci kwi-lamina, okanye i-arch ye-vertebrae yomgogodla, ukukhulula uxinzelelo.
Ngamanye amaxesha, i-lamina yonke iyasuswa, eyaziwa ngokuba yi-laminectomy. (I-American Academy ye-Neurological Surgeons. 2024)

Ukuqonda

I-Discectomy, eyaziwa ngokuba yi-microdiscectomy, inokwenziwa kwi-lumbar okanye kwi-cervical spine.
Ugqirha ogqirha ufikelela kwi-disc echaphazelekayo ngokusebenzisa i-incision encinci kwaye asuse iinxalenye zediski. (I-American Academy ye-Orthopedic Surgeons. 2022)

Uqhaqho lweDiskhi eyenziweyo

Enye indlela ibandakanya ukufakela idiski eyenziweyo.
Oku kudla ngokusetyenziswa kwi-hernia kumqolo ongezantsi; i-disc egugileyo okanye eyonakeleyo iyasuswa, kwaye iprosthetic ekhethekileyo ithatha indawo yediski esusiweyo. (I-American Academy ye-Orthopedic Surgeons. 2022)
Oku kuvumela ukuhamba ngakumbi.

Impumelelo yotyando lwediski ye-herniated ixhomekeke kwizinto ezahlukeneyo. Ukuqhubela phambili kubuchule obuncinci obuncinci buphucule kakhulu iziphumo zexesha elide, kunye nophononongo olunye lufumanisa ukuba malunga ne-80% ibike iziphumo ezilungileyo-ezigqwesileyo kwi-mix-year elandelayo. (UGeorge J. Dohrmann, uNassir Mansour ngo-2015) Noko ke, kukho ithuba lokuphindaphinda. Ngokumalunga ne-20% ukuya kwi-25% yabantu abaneediski ze-lumbar ze-herniated bafumana i-herniation kwakhona ngexesha elithile. (I-American Academy ye-Neurological Surgeons. 2024)

amaxabiso

Utyando lwe-disc ye-herniated lukhethekileyo, kwaye iindleko zixhomekeke kububanzi kunye nobukhulu bonyango.
Isicwangciso se-inshorensi esikhethekileyo somntu sikwamisela iindleko.
Iindleko eziqhelekileyo zotyando ziphakathi kwe-$14,000 kunye ne-$30,000. (UAnna NA Tosteson et al., 2008)

Ukukhetha Unyango

Xa ukhetha phakathi kwe-chiropractic kunye nokuhlinzwa kwi-disc ye-herniated, izinto ezininzi zinokugqiba isigqibo, kuquka:

I-Chiropractic yindlela engaphantsi kwe-invasive nokuhlinzwa.
Uhlengahlengiso lwe-Chiropractic alukwazi ukunceda iimeko ezithile ezinzima zeediski ze-herniated.
Uhlengahlengiso lwe-Chiropractic luthintela i-disc ye-herniated ukuba ibe nzima kwaye inciphise iimpawu.
Utyando lubonelela ngeentlungu kunye nokukhululeka kweempawu ngokukhawuleza kune-chiropractic okanye unyango olulondolozayo kodwa lufuna ixesha elibalulekileyo lokubuyisela kwaye liyabiza. (UAnna NA Tosteson et al., 2008)
Utyando lusenokungafaneleki kubantu abane-osteoarthritis okanye i-osteoporosis.

Unyango lwe-Chiropractic luphakathi kweendlela zonyango ezilondolozayo kwi-disc ye-herniated kwaye inokuzama kuqala ngaphambi kokuba kuqhutywe utyando. Ngokuqhelekileyo, utyando lunconywa kuphela xa iindlela ezingabonakaliyo azikwazanga ukumisa okanye ukulawula intlungu kunye neempawu. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic isebenza nababoneleli bezempilo bokuqala kunye neengcali ukuphuhlisa isisombululo esiphezulu sezempilo kunye nempilo esinceda ngokupheleleyo umntu ukuba abuyele kwisiqhelo.

Inkqubo eKhawulezayo yeSigulana

Ucaphulo

I-MedlinePlus.MedlinePlus. (2023). IChiropractic. Ifunyenwe kwi medlineplus.gov/chiropractic.html

Iziko leSizwe leMpilo yokuThotyelwa kunye neNtsebenziswano. (2019). IChiropractic: ngobunzulu. Ifunyenwe kwi www.nccih.nih.gov/health/chiropractic-in-depth

Coulter, ID, Crawford, C., Hurwitz, EL, Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, PM (2018). Ukuguqulwa kunye nokuhlanganisa ukunyanga iintlungu ezingapheliyo ezibuhlungu ezisezantsi: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 18 (5), 866-879. doi.org/10.1016/j.spinee.2018.01.013

Dagenais, S., Brady, O., Haldeman, S., & Manga, P. (2015). Uphononongo olucwangcisiweyo oluthelekisa iindleko zokunakekelwa kwe-chiropractic kwezinye iindlela zokungenelela kwintlungu yomqolo e-United States. Uphando lweenkonzo zempilo ze-BMC, i-15, i-474. doi.org/10.1186/s12913-015-1140-5

I-American Academy ye-Orthopedic Surgeons. (2022). Idiski yeHerniated kumqolo osezantsi. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/

I-American Academy ye-Neurological Surgeons. Oogqirha botyando, AA o. N. (2024). Idiski yeHerniated. www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Herniated-Disc

Dohrmann, GJ, & Mansour, N. (2015). Iziphumo zexesha elide leMisebenzi eyahlukeneyo yeLumbar Disc Herniation: Uhlalutyo lwezigulane ezingaphezu kwe-39,000. Imigaqo yezonyango kunye nokusebenza : ijenali yamazwe ngamazwe yeYunivesithi yaseKuwait, iZiko leSayensi yezeMpilo, i-24 (3), i-285-290. doi.org/10.1159/000375499

Tosteson, AN, Skinner, JS, Tosteson, TD, Lurie, JD, Andersson, GB, Berven, S., Grove, MR, Hanscom, B., Igazi, EA, & Weinstein, JN (2008). Ukusebenza kweendleko zokuhlinzwa ngokubhekiselele kunyango olungasebenziyo kwi-lumbar disc herniation kwiminyaka emibini: ubungqina obuvela kwi-Spine Patient Outcomes Research Trial (SPORT). Umqolo, 33 (19), 2108-2115. doi.org/10.1097/brs.0b013e318182e390

Ukulawula i-Spinal Stenosis: Iinketho zonyango

by UGqr Alex Jimenez | Uncedo Lwezityalo, Unyango

I-Spinal stenosis ligama elisetyenziselwa ukuchaza umqolo onqabileyo. Unyango luyahluka kuba imeko yomntu wonke yahlukile. Abanye abantu baba neempawu ezibuthathaka, ngelixa abanye bafumana iimpawu ezinzima. Ngaba ukwazi iindlela zonyango kunokunceda isigulana kunye neqela lokhathalelo lwempilo ukuba benze ngokwezifiso isicwangciso sonyango kwimeko yomntu ngamnye?

Unyango Stenosis Umqolo

Izithuba ngaphakathi komqolo zinokuba mfutshane kunokuba zifanele ukuba, ezinokubangela uxinzelelo kwiingcambu zemithambo-luvo kunye nentambo yomgogodla. Naphi na ecaleni komqolo unokuchaphazeleka. Ukunciphisa kunokubangela intlungu, ukutshisa, kunye / okanye ukuqaqanjelwa ngasemva kunye nobuthathaka emilenzeni nasezinyaweni. I-Spinal stenosis inamayeza amaninzi aphambili. Xa usebenza ngonyango lwe-spinal stenosis, umboneleli wezempilo uya kuvavanya iimpawu kwaye aqalise unyango ngonyango lokuqala, olufana namayeza eentlungu kunye/okanye unyango lomzimba. Aba badla ngokuba ngabokuqala phakathi kwabantu abanesifo.

Amachiza

Intlungu engapheliyo yenye yeempawu eziphambili. Unyango lodidi lokuqala luhlala lubandakanya ukusetyenziswa kweyeza/amayeza okudambisa iintlungu. Amayeza amiselweyo aqhelekileyo achasene ne-nonsteroidal anti-inflammatories okanye ii-NSAID. La mayeza anciphisa intlungu kunye nokuvuvukala. Nangona kunjalo, ii-NSAID azikhuthazwa ukuba zisetyenziswe ixesha elide, kwaye amanye amayeza angadinga ukusetyenziswa ukukhulula intlungu equka: (Sudhir Diwan et al., 2019)

Tylenol - acetaminophen
UGabapentin
Pregabalin
Ii-opioids kwiimeko ezinzima

Lolonga

Ukuzivocavoca kunokunciphisa iimpawu ze-spinal stenosis ngokuthatha uxinzelelo kwiimbilini, ezinokunciphisa intlungu kunye nokuphucula ukuhamba. (U-Andrée-Anne Marchand et al., 2021) Ababoneleli ngezempilo baya kucebisa eyona mithambo isebenzayo kumntu ngamnye. Imizekelo ibandakanya:

Ukuzivocavoca kweAerobic, njenge ukuhamba
Ehleli i-lumbar flexion
I-Lumbar flexion ekuxokeni
Ukwandiswa kwe-lumbar eqhubekayo
Ukuqiniswa kwe-Hip kunye nengundoqo
Ukuma kwe-lumbar flexion

Ulungiso lwenyama

Olunye unyango oluphambili lwe-spinal stenosis lunyango lomzimba, oluhlala lusetyenziswa kunye namayeza eentlungu. Ngokuqhelekileyo, abantu bafumana iiveki ezintandathu ukuya kwezisibhozo zonyango lomzimba, kunye neeseshini ezimbini ukuya kathathu ngeveki. Ukusebenzisa unyango lomzimba kubonisiwe ukuba (Sudhir Diwan et al., 2019)

Ukunciphisa intlungu
Yandisa ukuhamba
Nciphisa amayeza eentlungu.
Ukunciphisa iimpawu zempilo yengqondo ezifana nomsindo, ukudakumba, kunye nokutshintsha kwemo.
Kwiimeko ezinzima, unyango lomzimba emva kotyando lunokunciphisa amaxesha okubuyisela.

Iibrayisi zangasemva

I-back braces inokunceda ukunciphisa ukunyakaza kunye noxinzelelo kumqolo. Oku kuluncedo kuba neentshukumo ezincinci zomnqonqo zinokukhokelela ekucaphukeni kwemithambo-luvo, iintlungu, kunye neempawu eziya zisiba mbi. Ngokuhamba kwexesha, i-bracing ingakhokelela ekunyuseni okulungileyo kokuhamba. (UCarlo Ammendolia et al., 2019)

Injections

Iinaliti ze-epidural steroid zinokucetyiswa ukukhulula iimpawu ezinzima. Iisteroids zisebenza njenge-anti-inflammatories ukunciphisa intlungu kunye nokudumba okubangelwa kukudumba kunye nokucaphuka kwemithambo yomqolo. Zigqalwa njengeenkqubo zonyango ezingaqhaqho. Ngokutsho kophando, i-injection inokulawula ngokufanelekileyo intlungu kwiiveki ezimbini ukuya kwiinyanga ezintandathu, kwaye uphando oluthile lufumene ukuba emva kwesitofu somgogodla, ukukhululeka kunokuhlala iinyanga ze-24. (Sudhir Diwan et al., 2019)

Inkqubo yokuTyibilika kweeLigaments ezityebileyo

Abanye abantu banokucetyiswa ukuba benze inkqubo yoxinzelelo. Le nkqubo ibandakanya ukusebenzisa isixhobo senaliti esincinci esifakwe ngasemva. Izicubu ze-ligament ezixubileyo zisuswa ukunciphisa uxinzelelo kumqolo kunye nemithambo-luvo. Uphando lufumene ukuba inkqubo inokunciphisa iimpawu kunye nesidingo sotyando olungakumbi. (Nagy Mekhail et al., 2021)

Unyango olulolunye

Ukongeza kunyango lokuqala, abantu banokuthunyelwa kwezinye iindlela zonyango zolawulo lweempawu, kubandakanya:

Ukwenza i-Acupuncture

Oku kubandakanya ukufakwa kweenaliti ezinencam encinci kwii-acupoints ezahlukeneyo ukuthomalalisa iimpawu.
Olunye uphando lufumene ukuba i-acupuncture inokusebenza ngakumbi ekunciphiseni iimpawu kunonyango lomzimba kuphela. Zombini iinketho ziyasebenza kwaye zinokuphucula ukuhamba kunye neentlungu. (Hiroyuki Oka et al., 2018)

Chiropractic

Olu nyango lunciphisa uxinzelelo kwiimbilini, lugcina ukulungelelaniswa komgogodla, kwaye lunceda ukuphucula ukuhamba.

ukuphulula umzimba womntu ngobunono

Ukuphulula kunceda ukwandisa ukujikeleza, ukukhulula izihlunu, kunye nokunciphisa intlungu kunye nokuqina.

UKhetho olutsha loNyango

Njengoko uphando lwe-spinal stenosis luqhubeka, unyango olutsha luya kuvela ukunceda ukukhulula kunye nokulawula iimpawu kubantu abangaphenduliyo kumayeza esintu okanye abangakwaziyo ukuthatha inxaxheba kunyango oluqhelekileyo ngenxa yezizathu ezahlukeneyo. Nangona kunjalo, ubungqina obuthile obunikiweyo buyathembisa; ii-inshorensi zonyango zingazithatha njengezovavanyo kwaye zingaboneleli nge-inshorensi de ukhuseleko lwazo lungqinwe. Olunye unyango olutsha lubandakanya:

Acupotomy

I-Acupotomy luhlobo lwe-acupuncture olusebenzisa iinaliti ezibhityileyo ezinencanyana encinci, ecaba, i-scalpel-type-tip ukukhulula uxinzelelo kwiindawo ezibuhlungu. Uphando ngeziphumo zalo lusanqongophele, kodwa idatha yokuqala ibonisa ukuba inokuba lunyango oluncedisayo olusebenzayo. (UJi Hoon Han et al., 2021)

Ulwaphulo lweStem Cell

Iiseli ze-Stem ziiseli eziphuma kuzo zonke ezinye iiseli. Zisebenza njengezinto eziluhlaza ukuze umzimba wenze iiseli ezikhethekileyo ezinemisebenzi ethile. (Amaziko eSizwe ezeMpilo. 2016)

Abantu abane-spinal stenosis banokuhlakulela umonakalo wezicubu ezithambileyo.
Unyango lwe-stem cell lusebenzisa iiseli ze-stem ukunceda ukulungisa izicubu ezonzakeleyo okanye ezigulayo.
Unyango lwe-stem cell lunokunceda ukulungisa okanye ukuphucula iindawo ezonakalisiweyo kunye nokubonelela ngokukhululeka kweempawu.
Izifundo zeklinikhi zespinal stenosis zixela ukuba inokuba lukhetho olusebenzayo lonyango kwabanye.
Nangona kunjalo, uphando oluninzi luyafuneka ukuqinisekisa ukuba ngaba unyango lusebenza ngokwaneleyo ukuba lusetyenziswe ngokubanzi. (Hideki Sudo et al., 2023)

Izixhobo zokuZinzisa eziNgqongileyo

I-LimiFlex sisixhobo sonyango esenza uphando kunye nohlalutyo ngokukwazi kwayo ukubuyisela ukuhamba kunye nokuzinza kumqolo. Ifakwe emqolo ngenkqubo yotyando. Ngokophando, abantu abane-spinal stenosis abafumana i-LimiFlex bahlala befumana ukuncipha okuphezulu kweentlungu kunye neempawu kunezinye iindlela zonyango. (T Jansen et al., 2015)

Lumbar Interspinous Distraction Decompression

I-Lumbar interspinous distraction decompression yenye inkqubo yotyando ye-spinal stenosis. Utyando lwenziwa nge-incision ngaphezu komqolo kwaye lubeka isixhobo phakathi kwama-vertebrae amabini ukudala indawo. Oku kunciphisa ukunyakaza kunye noxinzelelo kwiimbilini. Iziphumo zokuqala zibonisa ukukhululeka kwexesha elifutshane elihle kwiimpawu; idatha yexesha elide ayikabikho njengoko iyindlela entsha yonyango ye-spinal stenosis. (INkonzo yezeMpilo yeSizwe yase-UK, ngo-2022)

Inkqubo yoNyango

Kukho iinkqubo ezininzi zotyando ezikhoyo kwi-spinal stenosis. Ezinye ziquka: (Impilo ye-NYU Langone. 2024) Utyando lwe-spinal stenosis luhlala lugcinelwe abantu abaneempawu ezinzima, ezifana nokuba ndindisholo kwiingalo okanye emilenzeni. Xa ezi zimpawu zikhula, kubonisa ukunyanzeliswa okuphawuleka ngakumbi kwi-spinal nerves kunye nesidingo sonyango olunamandla. (Impilo ye-NYU Langone. 2024)

Laminectomy

I-laminectomy isusa inxalenye okanye yonke i-lamina, ithambo lomqolo eligqume umjelo womqolo.
Inkqubo yenzelwe ukunciphisa uxinzelelo kwi-nerve kunye nentambo yomgogodla.

I-Laminotomy kunye ne-Foraminotomy

Zombini utyando zisetyenziswa ukuba i-spinal stenosis yomntu ichaphazela kakubi ukuvuleka kwi-vertebral foramen.
I-Ligaments, i-cartilage, okanye ezinye izicubu ezithintela imithambo-luvo ziyasuswa.
Bobabini banciphisa uxinzelelo kwiimbilini ezihamba nge-foramen.

I-Laminoplasty

I-laminoplasty ikhulula uxinzelelo kwintambo yomgogodla ngokususa iinxalenye zelamina yomqolo womqolo.
Oku kwandisa i-spinal canal kunye nokunciphisa uxinzelelo kwimithambo-luvo. (Columbia Neurosurgery, 2024)

Ukuqonda

Le nkqubo yotyando ibandakanya ukususa iidiski ze-herniated okanye i-bulging ezibeka uxinzelelo kwintambo yomgogodla kunye neentsholongwane.

Umswakama

Ukudityaniswa komqolo kubandakanya ukudibanisa ama-vertebrae amabini kusetyenziswa iziqwenga zentsimbi ezifana neentonga kunye nezikrufu.
I-vertebrae izinzile ngakumbi kuba iintonga kunye nezikrufu zisebenza njengebrace.

Loluphi Unyango OluLungileyo?

Ngenxa yokuba zonke izicwangciso zonyango zahlukile, ukumisela eyona nto isebenzayo yeyona ifaneleke kakhulu kumboneleli wezempilo. Indlela nganye iya kujongwa kumntu ngamnye. Ukugqiba ukuba loluphi unyango olulungileyo, ababoneleli bezempilo baya kuvavanya: (Iziko leSizwe le-Arthritis kunye ne-Musculoskeletal and Skin Diseases. 2023)

Ubunzima beempawu.
Inqanaba langoku lempilo yonke.
Inqanaba lomonakalo owenzeka kumqolo.
Inqanaba lokukhubazeka kunye nendlela ukuhamba kunye nomgangatho wobomi obuchaphazelekayo.

I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo oyintloko womntu ngamnye kunye / okanye iingcali zokunceda ukuchonga iindlela ezifanelekileyo zonyango kunye neenkxalabo malunga namayeza okanye ezinye iindlela zonyango.

Ukuvula Wellness

Ucaphulo

Diwan, S., Sayed, D., Deer, TR, Salomons, A., & Liang, K. (2019). Indlela ye-Algorithmic yokuNyanga i-Lumbar Spinal Stenosis: Indlela esekelwe kubungqina. Iyeza lentlungu (Malden, Mass.), 20 (Suppl 2), S23-S31. doi.org/10.1093/pm/pnz133

Marchand, AA, Houle, M., O'Shaughnessy, J., Châtillon, C. É., Cantin, V., & Descarreaux, M. (2021). Ukusebenza kwenkqubo esekelwe kwi-prehabilitation yezigulane ezilindele ukuhlinzwa kwi-lumbar spinal stenosis: uvavanyo lweklinikhi olungahleliwe. Iingxelo zenzululwazi, i-11 (1), i-11080. doi.org/10.1038/s41598-021-90537-4

Ammendolia, C., Rampersaud, YR, Southerst, D., Ahmed, A., Schneider, M., Hawker, G., Bombardier, C., & Côté, P. (2019). Umphumo we-prototype ye-lumbar spinal stenosis belt ngokubhekiselele kwinkxaso ye-lumbar ekuhambeni kwamandla kwi-lumbar spinal stenosis: uvavanyo olulawulwa ngokungahleliwe. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 19 (3), 386-394. doi.org/10.1016/j.spinee.2018.07.012

Mekhail, N., Costandi, S., Nageeb, G., Ekladios, C., & Saied, O. (2021). Ukuqina kwenkqubo yokunciphisa i-lumbar encinci kwizigulane ezine-symptomatic lumbar spinal stenosis: ukulandelwa kwexesha elide. Iintlungu zokuziqhelanisa : iphephancwadi elisemthethweni le-World Institute of Pain, i-21 (8), i-826-835. doi.org/10.1111/papr.13020

Oka, H., Matsudaira, K., Takano, Y., Kasuya, D., Niiya, M., Tonosu, J., Fukushima, M., Oshima, Y., Fujii, T., Tanaka, S., & Inanami, H. (2018). Uphononongo oluthelekisayo lwezonyango ezintathu ezilondolozayo kwizigulane ezine-lumbar spinal stenosis: i-lumbar spinal stenosis kunye ne-acupuncture kunye ne-physiotherapy study (LAP study). I-BMC encedisayo kunye neyeza elilolunye, i-18(1), i-19. doi.org/10.1186/s12906-018-2087-y

Han, JH, Lee, HJ, Woo, SH, Park, YK, Choi, GY, Heo, ES, Kim, JS, Lee, JH, Park, CA, Lee, WD, Yang, CS, Kim, AR, & Han , CH (2021). Ukusebenza kunye nokhuseleko lwe-acupotomy kwi-lumbar spinal stenosis: i-pragmatic randomized, controlled, pilot trial trial: Iprotocol yokufunda. Amayeza, 100 (51), e28175. doi.org/10.1097/MD.0000000000028175

Sudo, H., Miyakoshi, T., Watanabe, Y., Ito, YM, Kahata, K., Tha, KK, Yokota, N., Kato, H., Terada, T., Iwasaki, N., Arato, T., Sato, N., & Isoe, T. (2023). Iprotocol yokunyanga i-lumbar spinal canal stenosis kunye nendibaniselwano ye-ultrapurified, i-allogen bone marrow-derived mesenchymal stem cells kunye ne-situ-forming gel: i-multicentre, i-prospective, i-double blind blind-controlled controlled trial. BMJ vula, 13(2), e065476. doi.org/10.1136/bmjopen-2022-065476

Amaziko eSizwe ezeMpilo. (2016). Iziseko zeeseli zestem. ISebe lezeMpilo lase-US kunye neeNkonzo zoLuntu. Ifunyenwe kwi stemcells.nih.gov/info/basics/stc-basics

Jansen, T., Bornemann, R., Otten, L., Sander, K., Wirtz, D., & Pflugmacher, R. (2015). Vergleich dorsaler Dekompression nicht stabilisiert und dynamisch stabilisiert mit LimiFlex™ [Uthelekiso lweDorsal Decompression kunye neDorsal Decompression Didityaniswe nesixhobo sokuZinzisa esiDynamic iLimiFlex™]. Zeitschrift fur Orthopadie und Unfallchirurgie, 153(4), 415–422. doi.org/10.1055/s-0035-1545990

INkonzo yezeMpilo yeSizwe yase-UK. (2022). Utyando lokuthotywa kweLumbar: lwenziwa njani. www.nhs.uk/conditions/lumbar-decompression-surgery/what-happens/

Impilo ye-NYU Langone. (2024). Utyando lwe-spinal stenosis. nyulangone.org/conditions/spinal-stenosis/treatments/surgery-for-spinal-stenosis

Columbia Neurosurgery. (2024). Inkqubo ye-laminoplasty yomlomo wesibeleko. www.neurosurgery.columbia.edu/patient-care/treatments/cervical-laminoplasty

Iziko leSizwe le-Arthritis kunye ne-Musculoskeletal and Skin Diseases. (2023). I-Spinal stenosis: Ukuxilongwa, unyango kunye namanyathelo okufuneka uwathathe. Ifunyenwe kwi www.niams.nih.gov/health-topics/spinal-stenosis/diagnosis-treatment-and-steps-to-take

I-Lumbar Traction: Ukubuyisela Ukuhamba kunye nokunciphisa iintlungu ezisezantsi

by UGqr Alex Jimenez | Sciatica, Unyango lokuthotywa koMnqonqo

Kubantu abafumana okanye abalawula iintlungu ezisezantsi kunye / okanye i-sciatica, ngaba unyango lwe-lumbar traction lunokunceda ukunika isiqabu esiqhubekayo?

Ukutsalwa kwe-Lumbar

I-Lumbar traction therapy ye-back back pain kunye ne-sciatica ingaba yindlela yokonyango yokunceda ukubuyisela ukuhamba kunye nokuguquguquka kunye nokuxhasa ngokukhuselekileyo ukubuyela komntu kwinqanaba eliphezulu lomsebenzi. Ihlala idibaniswa nomsebenzi ojoliswe kuwo wonyango. (Yu-Hsuan Cheng, et al., 2020) Ubuchwephesha bolula indawo phakathi kwe-vertebrae kumqolo ophantsi, ukukhulula iintlungu ezisezantsi.

I-Lumbar okanye i-low back traction inceda ukwahlula izithuba phakathi kwe-vertebrae.
Ukwahlula amathambo kubuyisela ukujikeleza kwaye kunceda ukukhulula uxinzelelo kwi-nerve pinched njenge-nerve ye-sciatic, ukunciphisa intlungu kunye nokuphucula ukuhamba.

Research

Abaphandi bathi i-lumbar traction kunye nokuzilolonga ayizange iphucule iziphumo zomntu ngamnye xa kuthelekiswa nokuzivocavoca ngokwenyama ngokwabo (U-Anne Thackeray et al., ngo-2016). Uphononongo luvavanye abathathi-nxaxheba be-120 abaneentlungu ze-back back kunye ne-nerve root impingement abaye bakhethwa ngokungakhethi ukuba baqhube i-lumbar traction kunye nokuzivocavoca okanye ukuzivocavoca okulula kwiintlungu. Imithambo esekwe ekwandisweni igxile ekugobeni umqolo umva. Le ntshukumo ithathwa njengesebenzayo kubantu abaneentlungu zangasemva kunye nemithambo-luvo. Iziphumo zibonise ukuba ukongeza i-lumbar traction kwi-exercises yonyango lomzimba aluzange lubonelele ngeenzuzo ezibalulekileyo ngaphezu kokuzivocavoca okusekelwe ekwandisweni kwedwa ngenxa yeentlungu zangasemva. (U-Anne Thackeray et al., ngo-2016)

Uphononongo luka-2022 lwafumanisa ukuba i-lumbar traction iluncedo kubantu abaneentlungu ezisezantsi. Uphononongo luphande iindlela ezimbini ezahlukeneyo ze-lumbar traction kwaye zafumanisa ukuba i-variable-force lumbar traction kunye ne-high-force lumbar traction yanceda ukukhulula iintlungu ezisezantsi. I-High-force lumbar traction nayo yafunyanwa ukunciphisa ukukhubazeka okusebenzayo. (Zahra Masood et al., 202I-2) Olunye uphando lufumene i-lumbar traction iphucula uluhlu lwentshukumo kuvavanyo lokuphakamisa umlenze othe ngqo. Uphononongo luhlolisise amandla ahlukeneyo e-traction kwiidiski ze-herniated. Onke amanqanaba aphucula uluhlu lwabantu ngabanye, kodwa umlinganiselo wesiqingatha sobunzima bomzimba wawunxulunyaniswa neyona ntlungu ibalulekileyo. (Anita Kumari et al., 2021)

impatho

Kubantu abaneentlungu ezisezantsi kuphela, ukuzilolonga, kunye nokulungiswa kwe-postural inokuba yiyo yonke into efunekayo ukunika isiqabu. Uphando luqinisekisa ukuzivocavoca umzimba kunokunceda ukunciphisa iintlungu kunye nokuphucula ukuhamba (Anita Slomski 2020). Olunye uphononongo luveze ukubaluleka kokubeka kwindawo enye iimpawu ze-sciatic ngexesha leentshukumo eziphindaphindiweyo. I-centralization ihambisa intlungu emva komqolo, oluluphawu oluhle lokuba ii-nerve kunye neediski ziyaphilisa kwaye zenzeke ngexesha lokusebenzisa unyango. (UHanne B. Albert et al., 2012) I-chiropractor kunye neqela lonyango lomzimba linokufundisa izigulane ekukhuseleni iintlungu zentlungu emva. Iingcali ze-Chiropractors kunye neengcali zonyango ziingcali zentshukumo yomzimba ezinokubonisa ukuba yeyiphi imithambo efanelekileyo kwimeko yakho. Ukuqala inkqubo yomthambo ebeka phakathi iimpawu kunokunceda abantu babuyele kubomi babo besiqhelo ngokukhawuleza nangokukhuselekileyo. Qhagamshelana nomboneleli wezempilo phambi kokuba uqalise nayiphi na inkqubo yokuzilolonga yeentlungu zomqolo.

Iyeza lokuhamba: IChiropractic

Ucaphulo

Cheng, YH, Hsu, CY, & Lin, YN (2020). Umphumo we-mechanical traction kwiintlungu ezisezantsi kwizigulane ezineediski ze-intervertebral herniated: ukuhlaziywa kwenkqubo kunye nohlalutyo lwe-meta. Ukuvuselelwa kweklinikhi, i-34 (1), i-13-22. doi.org/10.1177/0269215519872528

Thackeray, A., Fritz, JM, Childs, JD, & Brennan, GP (2016). Ukusebenza kwe-Mechanical Traction phakathi kwamaCandelwana ezigulane ezineentlungu ezisezantsi kunye neentlungu zomlenze: uvavanyo olungenammiselo. Ijenali yonyango lwamathambo kunye nezemidlalo, i-46 (3), i-144-154. doi.org/10.2519/jospt.2016.6238

Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Impembelelo ye-lumbar traction kwi-discogenic low back pain usebenzisa amandla aguquguqukayo. JPMA. Ijenali yePakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453

Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Imiphumo ye-One-Fifth, One-Third, kunye ne-Half-Half of the Bodyweight Lumbar Traction kwi-Sight Leg Ukuphakamisa uvavanyo kunye nentlungu kwi-Prolapsed Intervertebral Disc Patients: Uvavanyo oluLawulwayo olungenammiselo. Uphando lweBioMed lwamazwe ngamazwe, 2021, 2561502. doi.org/10.1155/2021/2561502

Slomski A. (2020). Unyango lwangaphambili loMzimba lukhulula ukukhubazeka kwe-Sciatica kunye neentlungu. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673

Albert, HB, Hauge, E., & Manniche, C. (2012). I-Centralization kwizigulane ezine-sciatica: ngaba iimpendulo zentlungu kwiintshukumo eziphindaphindiweyo kunye nokumiswa okuhambelana nesiphumo okanye iintlobo zezilonda zediski? Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-21 (4), i-630-636. doi.org/10.1007/s00586-011-2018-9

Fumanisa iiNzuzo zeCraniosacral Therapy yokuNceda iintlungu

by UGqr Alex Jimenez | Intloko kunye nonyango, ukuphulula umzimba womntu ngobunono

Kubantu abaphethwe ziintlungu zentamo kunye neentloko, ngaba unyango lwe-massage yentloko ye-craniosacral lunokunceda ukunika isiqabu?

Unyango lweCraniosacral

Unyango lwe-Craniosacral kukuthanjiswa okuthambileyo ukukhulula i-fascia okanye uxinzelelo lwenethiwekhi yezicubu ezixhumeneyo. Unyango alulolutsha kodwa lufumene ingqalelo entsha ngenxa yomdla woluntu kunyango lweentlungu zendalo kunye nonyango. Izifundo zisikelwe umda, kodwa uphando lweklinikhi luyaqhuba ukubona ukuba unyango lunokuba lolona khetho lonyango luqhelekileyo. Unyango lujolise ekudambiseni iimpawu zezifo ezahlukeneyo kunye neemeko, kubandakanya:

Intloko
intlungu entanyeni
I-syndrome ye-complex yengingqi yeentlungu - i-CRPS
Ngokunciphisa uxinzelelo kumqolo ongaphantsi, intloko, kunye nekholamu yomgogodla, ukujikeleza kwe-cerebrospinal fluid kubuyiselwa, kwaye izigqi zomzimba ngaphakathi kwenkqubo ye-nervous zisetwa kwakhona. Oku kunika isiqabu kwiintlungu, kunciphisa uxinzelelo, kwaye kuphucule impilo yonke.

Iinjongo zokuphulula umzimba

Iimeko ezininzi kunye nezigulo ezithi zizuze kunyango lwe-craniosacral ziquka (Heidemarie Haller et al., 2019) (UHeidemarie Haller, uGustav Dobos, kwaye Holger Cramer, 2021)

Intloko
Migraines
Iimeko zeentlungu ezingapheliyo
Iziphazamiso ezinxulumene noxinzelelo
Ukuxhalabisa
ukudakumba
I-tinnitus - ukukhala ezindlebeni
Utywala
Infantile colic
Iintlungu zesisu
Ukunqongophala kwengqalelo ukuphazamiseka kwe-hyperactivity-ADHD
Isifuba
Unyango lokuphelisa iziphumo ebezingalindelekanga zonyango lomhlaza.

Iindawo ekugxilwe kuzo zezo zisecaleni kwe-fascia, izicubu ezixhumeneyo ezibambe izitho, imithambo yegazi, amathambo, imicu yemithambo-luvo, kunye nezihlunu endaweni. Ngokusebenza le zicubu ngokusebenzisa i-massage yoxinzelelo oluthambileyo, iingcali zinceda ukuthomalalisa impendulo yokulwa okanye yokubhabha ngokuphumza inkqubo ye-nervous enovelwano. Iimpawu ziya kugqiba ukuba zeziphi iindawo zomzimba ezifuna unyango lwe-craniosacral. Abantu abaneentloko ezibuhlungu baya kunikwa intloko okanye intamo ye-massage. Ezinye iindawo ezibandakanyekayo kunyango lwe-craniosacral ziquka:UHeidemarie Haller, uGustav Dobos, kunye noHolger Cramer, ngo-2021)

umva
Ejikeleze ikholamu yomgogodla.
Ezinye iindawo ezifana namalungu okanye izihlunu.
Uxinzelelo olusetyenziswa ngexesha lonyango lwe-craniosacral lulula kwaye alufani ne-massage yezicubu ezinzulu.
Uxinzelelo olukhanyayo lusetyenziswa kwi-fascial tissue echaphazelekayo ukunceda ukusetha kwakhona izigqi zomzimba ezithile ezinokudlala indima kwintlungu kunye nezinye iimpawu. (UHeidemarie Haller, uGustav Dobos, kunye noHolger Cramer, ngo-2021)

Inkqubo yeNervous yeParasympathetic kunye novelwano

Iinkqubo ze-nervous parasympathetic kunye novelwano zilawula iimpendulo ezahlukeneyo zomzimba.
Inkqubo ye-nervous parasympathetic isekela ukuphumla okufanelekileyo kunye nemisebenzi yokugaya ukutya, kwaye inkqubo ye-nervous enovelwano ilawula impendulo yomzimba yokulwa-okanye-indiza. (Iklinikhi yaseCleveland. 2022)

IiTeknikhi zoNyango

Iindlela zokuphulula ezisetyenziswa kunyango lwe-craniosacral zixhomekeke kuxinzelelo oluphantsi olwenzelwe ukuba luthambe kangangoko. Iincam zeminwe zihlala zisetyenziselwa ukuphepha ukufaka uxinzelelo oluninzi. Ababoneleli bezempilo basebenza iindawo phakathi kwekhayi kunye nezantsi komqolo ukuchonga nokusetha kwakhona ukungalingani ngaphakathi komzimba kunye ne-cerebrospinal fluid. Ukuba kukho ukungalingani kwi-cerebrospinal fluid, i-massage therapist iya kuphinda ibeke umntu okanye icinezele kwindawo ukukhulula kunye / okanye ukwandisa ukujikeleza. Ubuchule busebenza ukuphucula amandla omzimba okulawula iimpendulo zomzimba. (Heidemarie Haller et al., 2019Ngexesha nasemva kweseshoni, abantu ngabanye banokufumana iimvakalelo ezahlukeneyo, kubandakanywa: (I-Biodynamic Craniosacral Therapy Association yaseMntla Melika, ngo-2024)

Ukuphumla.
Ukuziva ukwimo yokucamngca.
Ukulala.
Unamandla.
Ukuziva ukufudumala.
Ukuphefumla nzulu.
Ukuziva umzimba uqondile kwaye umde.

Abantu abangafanelanga baFumana unyango lweCraniosacral

Unyango lweCraniosacral luthathwa njengekhuselekile; nangona kunjalo, abanye abantu kufuneka bayiphephe okanye badibane nomboneleli wezempilo ngaphambi kokuba bazame. Abo bacetyiswayo ukuba bangalufumani unyango baquka abantu abanezi zigulo okanye izigulo zilandelayo:

Ukubhideka okanye okunye ukwenzakala kwengqondo.
Amahlwili egazi.
Ukudumba kwengqondo.
I-Brain aneurysm - i-bulge ezaliswe ligazi kumthambo wegazi ngaphakathi okanye ojikeleze ingqondo.
Iimeko ezibangela ukwakhiwa kwe-cerebrospinal fluid.

impatho

Unyango lweCraniosacral lunikezelwa ngababoneleli bezempilo abaninzi, kubandakanya:

Unyango lweCraniosacral olunelayisensi yokunyanga ii-massage therapists
Iingcali zempilo
Abasebenzi beengcali
Amathambo
Iingcali

Ezi ngcali ziyayazi indlela yokwenza indlela ye-massage ngokuchanekileyo.

Intloko intloko

Ucaphulo

Haller, H., Lauche, R., Sundberg, T., Dobos, G., & Cramer, H. (2019). Unyango lwe-Craniosacral kwiintlungu ezingapheliyo: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwemeta yezilingo ezilawulwa ngokungahleliwe. I-BMC ye-musculoskeletal disorders, i-21 (1), i-1. doi.org/10.1186/s12891-019-3017-y

Haller, H., Dobos, G., & Cramer, H. (2021). Ukusetyenziswa kunye neenzuzo zeCraniosacral Therapy kukhathalelo lwempilo olusisiseko: isifundo esilindelekileyo seqela. Unyango olongezelelweyo kumayeza, 58, 102702. doi.org/10.1016/j.ctim.2021.102702

Iklinikhi yaseCleveland. (2022). Inkqubo yeNervous yePeripheral (PNS) (iThala leeNcwadi leMpilo, uMba. my.clevelandclinic.org/health/body/23123-peripheral-nervous-system-pns

I-Biodynamic Craniosacral Therapy Association yaseMntla Melika. (2024). Injani iseshini? www.craniosacraltherapy.org/what-is-a-session-like-

Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, Ukuhamba kunye nokuguquguquka, Ucoceko loMgcini, Uncedo Lwezityalo, Unyango, I-Viscerosomatic Reflex

Ngaba abantu abane-hypermobility edibeneyo banokufumana isiqabu ngonyango olungazenzisiyo ekunciphiseni iintlungu kunye nokubuyisela ukuhamba komzimba?

intshayelelo

Xa umntu ehambisa umzimba wabo, izihlunu ezijikelezileyo, amalunga, kunye nemigqaliselo ifakwe kwimisebenzi eyahlukeneyo evumela ukuba banwebe kwaye baguquguquke ngaphandle kwentlungu okanye ukungahambi kakuhle. Iintshukumo ezininzi eziphindaphindwayo zenza umntu aqhubeke nenkqubo yakhe. Nangona kunjalo, xa amalunga, izihlunu, kunye nemigqa yolulelwe kude kunesiqhelo kwindawo ephezulu kunye nesezantsi ngaphandle kweentlungu, kwaziwa ngokuba yi-joint hypermobility. Olu kuphazamiseka kwezicubu ezixhumeneyo kunokunxibelelana nezinye iimpawu ezichaphazela umzimba kwaye kubangele ukuba abantu abaninzi bafune unyango lokulawula iimpawu ze-hypermobility edibeneyo. Kwinqaku lanamhlanje, siza kujonga i-hypermobility edibeneyo kunye nendlela ezahlukeneyo zonyango ezingezizo utyando ezinokunceda ukunciphisa intlungu ebangelwa yi-hypermobility kunye nokubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yabo inokudibaniswa ngayo ne-hypermobility edibeneyo. Sikwazisa kwaye sikhokela izigulana malunga nendlela ukudibanisa unyango olungelulo utyando lunokunceda ukuphucula umsebenzi odibeneyo ngelixa ulawula iimpawu ezihambelanayo. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nengqiqo malunga nokubandakanya unyango olungasebenzisiyo njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka kwi-hypermobility joint. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

Yintoni Joint Hypermobility?

Ngaba uhlala uziva ukuba amalungu akho evalelwe ezandleni, ezihlahleni, emadolweni, nasezingqinibeni? Ngaba ufumana iintlungu kunye nokudinwa kumalungu akho xa umzimba wakho uziva udiniwe rhoqo? Okanye xa usolula iziphetho zakho, ngaba zinwenwela kude kunesiqhelo ukuze uve isiqabu? Uninzi lwezi meko zahlukeneyo zihlala zinxulunyaniswa nabantu abafumana i-hypermobility edibeneyo. I-Joint hypermobility sisifo esizuzwa njengelifa kunye neepateni eziphambili ze-autosomal ezibonisa i-hyperlaxity edibeneyo kunye neentlungu ze-musculoskeletal ngaphakathi kweendawo zomzimba. (Carbonell-Bobadilla et al., 2020) Le meko ye-tissue edibeneyo idla ngokuhambelana nokuguquguquka kwezicubu ezidibeneyo ezifana nemigqa kunye ne-tendon emzimbeni. Umzekelo uya kuba ukuba isithupha somntu sichukumisa umphambili wabo wangaphakathi ngaphandle kokuva iintlungu okanye ukungakhululeki, bane-hypermobility edibeneyo. Ukongeza, abantu abaninzi abajongana ne-hypermobility edibeneyo bahlala benokuxilongwa nzima njengoko beya kukhula ulusu kunye nobuthathaka bezicubu ngokuhamba kwexesha, okubangela iingxaki ze-musculoskeletal. (Tofts et al., 2023)

Xa abantu bejongana ne-hypermobility edibeneyo ngokuhamba kwexesha, uninzi luhlala lunophawu lwe-hypermobility edibeneyo. Baza kubonisa iimpawu ze-musculoskelet kunye ne-systemic ezikhokelela ekuboniseni ukukhubazeka kwamathambo, izicubu kunye ne-fragility yesikhumba, kunye nokwahlukana kwesakhiwo kwinkqubo yomzimba. (UNicholson et al., 2022) Ezinye zeempawu zokuba i-joint hypermobility iboniswa kuxilongo ziquka:

Iintlungu zemisipha kunye nokuqina kwamalungu
Ukucofa amalungu
Ukukhathala
Imiba yokugaya
Imicimbi yokulinganisa

Ngethamsanqa, kukho unyango olwahlukeneyo olunokuthi lusetyenziswe ngabantu abaninzi ukunceda ukubuyisela izihlunu ezijikeleze amalunga kunye nokunciphisa iimpawu ezihambelanayo ezibangelwa yi-hypermobility edibeneyo.

Intshukumo Njengonyango-Ividiyo

Nosurgical Treatments For Joint Hypermobility

Xa ujongene ne-hypermobility edibeneyo, abantu abaninzi kufuneka bafune unyango lokunciphisa iimpawu ezihambelana neentlungu ze-hypermobility kunye nokunceda ukukhulula iziphelo zomzimba ngelixa ubuyisela ukuhamba. Olunye unyango olugqwesileyo lwe-hypermobility edibeneyo lunyango olungasebenzisi utyando olungaphazamisiyo, luthambileyo kumalungu kunye nezihlunu, kwaye lungabizi kakhulu. Iindidi ezahlukeneyo zonyango ezingezizo utyando zinokwenzelwa umntu ngamnye ngokuxhomekeke ekubeni kuqatha kangakanani na ukudityaniswa kwe-hypermobility kunye ne-commorbidities kuchaphazela umzimba womntu. Unyango olungenalo utyando lunokukhulula umzimba kwi-hypermobility edibeneyo ngokunyanga izizathu zentlungu ngokunciphisa kunye nokwandisa amandla okusebenza kunye nokubuyisela umgangatho wobomi bomntu. (Etwell et al., 2021) Iindlela ezintathu zonyango ezingenalo utyando ezigqwesileyo ekunciphiseni intlungu kwi-hypermobility yamalungu kunye nokunceda ukuqinisa imisipha ejikelezayo ingezantsi.